Cavernous hemangioma of the orbit. J Neurosurg 1979 Aug;51(2):219-28
Date
08/01/1979Pubmed ID
448430DOI
10.3171/jns.1979.51.2.0219Scopus ID
2-s2.0-0018749205 (requires institutional sign-in at Scopus site) 168 CitationsAbstract
The clinical and pathological data of 66 patients with orbital cavernous hemangioma are presented. This tumor occurs in females more frequently than in males, and has its peak incidence in early middle age. Visual disability results from a high degree of relative hyperopia or from optic-nerve compression. Postural or temporal variation is proptosis is not characteristic. Multiple cavernous hemangiomas are rare, but may occur simultaneously or separated by long intervals. In this series, incompletely excised lesions did not cause recurrent proptosis. Relative hyperopia may persist, in spite of complete removal of the tumor. Improved preoperative localization with modern techniques appears to be reducing the morbidity associated with surgical excision of the lesion. A local hemodynamic disturbance may initiate proliferation of vascular channels that undergo progressive ectasia. Growth of the lesion may occur intrinsically by the budding-off of capillary channels from cavernous spaces into the interstitium. Clinical and pathological findings fail to demonstrate any relationship between this lesion and capillary hemangioma of childhood.
Author List
Harris GJ, Jakobiec FAAuthor
Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Female
Hemangioma, Cavernous
Humans
Male
Middle Aged
Orbital Neoplasms
Vision, Ocular